Provider Demographics
NPI:1760525620
Name:SULLIVAN TURNER LLC
Entity Type:Organization
Organization Name:SULLIVAN TURNER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLEXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-784-3440
Mailing Address - Street 1:736 W SOMERDALE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-2443
Mailing Address - Country:US
Mailing Address - Phone:856-787-3440
Mailing Address - Fax:856-627-8225
Practice Address - Street 1:736 W SOMERDALE RD
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2443
Practice Address - Country:US
Practice Address - Phone:856-787-3440
Practice Address - Fax:856-627-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15377122300000X
NJ19794122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty